CPNRE Maternal and Newborn Care 2

Question 1

A woman at 32 weeks gestation reports painless, bright red vaginal bleeding. Which condition does this presentation most suggest?

Accepted Answer

Placenta previa

Answer

Placental abruption

Answer

Normal bloody show

Answer

Cervical polyp

Question 2

A newborn receives a 1-minute Apgar score of 5. Which interpretation and action is correct?

Accepted Answer

Score of 5 indicates mild to moderate depression requiring stimulation and supplemental oxygen

Answer

Score of 5 is normal, no action needed

Answer

Score of 5 indicates moderate depression requiring full CPR

Answer

Score of 5 is critical requiring immediate intubation

Question 3

A nursing mother reports breast engorgement on postpartum day 2. Which advice should the practical nurse provide?

Accepted Answer

Feed frequently on demand, ensure proper latch, and apply warm compress before feedings

Answer

Stop breastfeeding to allow engorgement to resolve

Answer

Apply ice packs continuously and limit feeding frequency

Answer

Supplement with formula between feedings to reduce demand

Question 4

During oxytocin infusion, the fetal heart rate drops from 140 to 80 bpm coinciding with each contraction and returning to baseline quickly. How should this be interpreted?

Accepted Answer

Early decelerations indicating head compression, normal finding

Answer

Late decelerations indicating uteroplacental insufficiency

Answer

Variable decelerations indicating cord compression

Answer

Accelerations indicating fetal well-being

Question 5

A client who delivered vaginally 6 hours ago has a fundal height at the umbilicus, deviated to the right, and a boggy uterus. What should the practical nurse suspect?

Accepted Answer

Bladder distension causing uterine displacement and atony

Answer

Normal postpartum uterine involution

Answer

Retained placental fragment

Answer

Postpartum hemorrhage from uterine atony

Question 6

A term newborn has not voided in the first 24 hours after birth. What is the priority nursing action?

Accepted Answer

Assess for bladder distension, ensure adequate feeding, and notify the physician

Answer

Normal since newborns may not void for 48 hours

Answer

Administer IV fluids to encourage renal perfusion

Answer

Insert a urinary catheter to measure output